肺主气,其脉居右寸,脾、胃、命门、三焦,各以气为变化运用,故皆附焉。心主血,其脉居左寸,肝、胆、肾、
膀胱,皆精血之隧道管库,故亦附焉。男以气成胎,则气为之主;女挟血成胎,则血为之主。男子久病,右脉充于左脉
者,有胃气也,病虽重可治;女子久病,左脉充于右者,有胃气也,病虽重可治。反此者,虚之甚也。或曰∶左心、小
肠、肝、胆、肾、膀胱;右肺、大肠、脾、胃、命门、三焦。男女所同不易之位也。脉法赞曰∶左大顺男,右大顺女。
吾子之言,非惟左右倒置,似以大为充,果有说以通之乎?曰∶大,本病脉也。今以大为顺,盖有充足之义,故敢以充
言之。《脉经》一部,谆谆于教为医者尔!此左右当以医者为言。若主于病,奚止于千里之谬?或曰∶上文言肝、心出左,
脾、肺出右,左主司官,右主司府,下文言左为人迎,右为气口,皆以病患之左右而为言,何若是之相反耶?曰∶《脉经》
第九篇之第五章,上文大、浮、数、动、长、滑、沉、涩、弱、弦、短、微,此言形状之阴阳。下文关前、关后等语,
又言部位之阴阳,阴附阳,阳附阴,皆言血气之阴阳。同为论脉之阴阳,而所指不同若此,上下异文,何足疑乎!赞曰∶
阴病治官,非治血乎?阳病治腑,非治气乎?由此参考,或恐与经意有合。
肺主管气,其脉象位于右手的寸部;脾、胃、命门(生命之门,指肾间动气)、三焦(六腑之一,主持诸气),各自通过气的变化来发挥功能作用,因此也依附于右寸脉。心主管血,其脉象位于左手的寸部;肝、胆、肾、膀胱,都是精血运行的通道和储藏之所,因此也依附于左寸脉。男性依靠气来形成胎元,所以以气为主;女性依靠血来形成胎元,所以以血为主。男子久病,如果右手脉象充实超过左手脉象,说明还有胃气存在,即使病情严重也可以治疗;女子久病,如果左手脉象充实超过右手脉象,说明还有胃气存在,即使病情严重也可以治疗。与此相反的情况,则是虚损非常严重的表现。有人问道:左手对应心、小肠、肝、胆、肾、膀胱;右手对应肺、大肠、脾、胃、命门、三焦。这是男女都相同且不可改变的位置。脉法赞语说:“左脉大顺乎男,右脉大顺乎女。”您的说法,不仅左右颠倒,而且似乎把“大”理解为充实,果真有什么道理可以贯通解释吗?回答说:“大”,本来是病脉的特征。现在说“大”为顺,大概含有充足的意思,所以我敢用“充”来解释。《脉经》这一部书,谆谆教导的是医生啊!这里的左右应当是指医生的左右而言。如果是指病患的左右,那错误何止千里呢?又有人问:上文说肝、心出于左侧,脾、肺出于右侧,左边主管脏(官),右边主管腑(府),下文说左为人迎穴位,右为气口穴位,都是以病患的左右来说明,为什么如此相反呢?回答说:《脉经》第九篇第五章,上文提到的大、浮、数、动、长、滑、沉、涩、弱、弦、短、微,这是在论述脉象形状的阴阳。下文关于关前、关后等话语,又在论述部位的阴阳,阴依附阳,阳依附阴,都是在论述气血的阴阳。同样是论述脉象的阴阳,但所指却不同,上下文字不同,有什么值得怀疑的呢?赞语说:阴病治疗脏,不是治疗血吗?阳病治疗腑,不是治疗气吗?由此参考,或许与经典的本意相符合。
The Lung governs Qi, and its pulse is located at the Cun position of the right wrist; the Spleen, Stomach, Mingmen (Gate of Life, referring to the vital energy between the kidneys), and Sanjiao (Triple Burner, one of the six fu-organs that governs all Qi) each function through changes and applications of Qi, thus they are also associated with it. The Heart governs Blood, and its pulse is located at the Cun position of the left wrist; the Liver, Gallbladder, Kidney, and Bladder are all channels and storehouses for Essence and Blood, thus they are also associated with it. Males conceive based on Qi, so Qi is primary; females conceive based on Blood, so Blood is primary. In males with chronic illness, if the pulse on the right is fuller than that on the left, it indicates the presence of Stomach Qi; even if the illness is severe, it is treatable. In females with chronic illness, if the pulse on the left is fuller than that on the right, it indicates the presence of Stomach Qi; even if the illness is severe, it is treatable. The reverse situation indicates extreme deficiency. Someone asked: "The left side corresponds to the Heart, Small Intestine, Liver, Gallbladder, Kidney, and Bladder; the right side corresponds to the Lung, Large Intestine, Spleen, Stomach, Mingmen, and Sanjiao. This is the fixed position unchanged by gender. The Pulse Method eulogy states: 'A large pulse on the left suits a male, a large pulse on the right suits a female.' Your statement not only reverses left and right but seems to interpret 'large' as fullness. Is there indeed an explanation to reconcile this?" I replied: "'Large' is originally a pathological pulse characteristic. Now saying 'large' is favorable implies a meaning of sufficiency, so I dare to speak of 'fullness'. The *Mai Jing* (Pulse Classic) earnestly instructs physicians! Here, 'left and right' should refer to the physician's left and right. If it referred to the patient's left and right, how could the error not be thousands of miles away?" Another asked: "The previous text stated that the Liver and Heart emerge from the left, and the Spleen and Lung from the right; the left governs Zang organs (officials), and the right governs Fu organs (palaces). The subsequent text stated that the left is the Renying point and the right is the Qikou point, all speaking of the patient's left and right. Why is it so contrary?" I replied: "In Chapter 5 of Part 9 of the *Mai Jing*, the aforementioned Da (Large), Fu (Floating), Shu (Rapid), Dong (Agitated), Chang (Long), Hua (Slippery), Chen (Deep), Se (Choppy), Ruo (Weak), Xian (Wiry), Duan (Short), and Wei (Minute) describe the Yin-Yang of pulse shapes. The subsequent text regarding positions before and after the Guan (Cord) describes the Yin-Yang of locations. Yin attaches to Yang, and Yang attaches to Yin; all discuss the Yin-Yang of Qi and Blood. Although both discuss the Yin-Yang of pulses, their references differ as such. How can different texts above and below cause doubt?" The eulogy states: "Treating Zang organs for Yin diseases, is it not treating Blood? Treating Fu organs for Yang diseases, is it not treating Qi?" By referencing this, one might fear it aligns with the intent of the classics."